THE EYE DOCTOR AT ST. ROSE LLC; NPI #1558996546

Contact Information

THE EYE DOCTOR AT ST. ROSE LLC

2645 ST. ROSE PARKWAY
SUITE C-110
HENDERSON, NV 89052

Phone: 702-385-7900
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Optician	156FX1800X	96[5]	Optician

Indicates primary specialty

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NPI Profile & details for THE EYE DOCTOR AT ST. ROSE LLC

NPI #	`1558996546`
LBN Legal business name	THE EYE DOCTOR AT ST. ROSE LLC
Authorized official	NATALY GAMMOH - (OWNER/OPTOMETRIST)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/10/2020
Last updated	01/20/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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THE EYE DOCTOR AT ST. ROSE LLC

Contact Information

Specialty

Optician

NPI Profile & details for THE EYE DOCTOR AT ST. ROSE LLC

Reviews for THE EYE DOCTOR AT ST. ROSE LLC